Power can replace the drill at the dentist

Nigel Pitts and Chris Longbottom are both dentists and researchers with more than 40 years of experience. According to British Kings College in London, they are world leaders in their field and employees at the University’s Innovation Center for Dentistry. Together they have developed a method that in the long run can dodge dentist and dental care for the story.

The method, called EAER (Electrically Accelerated and Improved Remineralization), basically builds on the fact that an electric current on some microamps picks up a natural process where calcium and phosphate ions are formed, repairing the damage. The power is so weak that the patient does not feel it.

– Stomach spray and dental brushes give rise to fear, stress and pain. In addition, it causes people to avoid going to the dentist for control. We hope to change that, says Chris Longbottom.

Repair karies

Nigel Pitts, chairman of the spin-off company Reminova, finds in a video that the technology works to get early damage to the teeth to go back and to repair karies at the same time as it currently takes to make a regular fill. It shows study teeth that have been withdrawn.

Because no fresh tissue is removed, no drill or anesthesia is required either. But yet the researchers are not there.

“We have helped technicians to develop a simple instrument for using the method. In the long run, we hope to be able to develop the method so that it can also handle root fillings and teeth whitening.

But yet the researchers are not there. Before the method can be used, clinical studies are required. In order to earn money, the company has taken advantage of crowdfunding. The company, which has 17 patents on the method, hopes to get on the market with a product in two years.

The researchers are careful to point out that the method does not replace toothbrush or other dental care. It’s still the best way to take care of your teeth.

At the same time, researchers in Australia say dentists today are often too quick to take the drill. A recently published study from the University of Sydney, Australia shows that less corrosion on the teeth heals if they are lacquered with fluoride and the person avoids digestive. The seven years of studying the method could reduce the number of fillings by 30 to 50 percent.

6 everyday habits that a dentist would never do

Toothache must be the toughest material in our body. But that does not mean it can do anything. There are a whole series of everyday superiors that are pure terror to the teeth.

1. Chew on ice

Some of us have a remarkable fissure to chew on left ice in our beverage glass. How dangerous can it be?

“It’s basically like chewing on stones,” says Jonathan Schwartz, dentist at Manhattan Dental Health.

2. Drink bottled water

Commonly tap water contains fluoride which protects the teeth from caries. Do you only drink bottled water you lose out on this important topic.

Too much fluoride, on the other hand, is negative as well. The limit value for fluoride in Swedish water is 1.5 mg / l.

3. Use your teeth as a tool

Certainly, it’s a freaky party trick to open capsules with your teeth, but if you’re a dentist you’re smart enough to stay away. The same thing applies in principle to everything you use your teeth. Should you open a chip bag – stick to scissors. Read more from this great article at Stockholm Tandläkargrupp.


“Your teeth are not used to chewing pens or straws or acting as a third hand when carrying things,” Schwartz said.

4. Leaves the toothbrush to the front

Most of us carefully store the toothbrush completely open in a small glass in the bathroom. Wrong, wrong, wrong. The toilet cries out of bacteria and there is nothing you want in your mouth (baits on the toothbrush do not sound very fresh, right?).

– Keep the toothbrush in your medical cupboard or buy a small shield that protects the brush, “said Schwartz.

5. Eat unpopped popcorn

If the popcorn is over and the only thing left is the kernel, you should definitely not put them in your mouth!

Especially if you have a denture in your teeth it may be purely health-friendly.

“If the core sticks into the layer and you bite down, you can literally crack your tooth straight away,” says Gregg Lituchy, a dentist from New York.

6. Brush your teeth at the wrong time

Brushing your teeth straight after a meal is often right, but not always. Have you eaten or drank anything with a high acid content, such as wine, coffee, soda or fruit juice, you should let it go.

Instead, wait 45 minutes and give your saliva the opportunity to neutralize the acid. Otherwise the toothbrush can damage the weakened dental bed.

Mouth gum surgery – What do I need to know?

Your dentist has recommended that you go to a parodontologist, a dental specialist who deals with gum disease. Gum disease is a bacterial infection that affects the gum and causes inflammation, red gums, swelling and bone loss around the teeth. It can hit a tooth or more. National Institutes of Health reports that 80 percent of all adults in the United States have any form of gum disease.

How did I get a gum disease?

Dental diseases begin with the presence of bacteria in the mouth that attack the teeth. The bacteria accumulate and become more and form a biofilm called dental plaque. If the plaque remains on the teeth, the adjacent gums may become inflamed and cause gingivitis, an early form of gum disease. Gingivitis can be prevented by using dental floss every day and brushing your teeth twice a day with toothpaste fighting bacteria. Plaque and leftovers are removed with good oral hygiene and by cleaning the surface of the teeth and removing bacterial-filled plaque at the gum edge. [It must be clear in this paragraph that gingivitis is an early disease of gum disease that can lead to periodontal disease, a serious form of gum disease, if not treated.]

If the plaque and leftovers are not removed and the oral hygiene is not taken, the gingivite becomes worse and the gum may become more inflamed, begin to bleed and the area between the teeth and the gums may become deeper and form pockets where gum disease may develop.

A gum pocket is formed when the bacteria in the plaque from the biofilm continue to accumulate and penetrate under the gum edge. In this mode, normal toothbrushing is not very effective to remove the plaque. If not treated by a dentist or dental hygienist, the biofilm will continue to spread under the gum edge and infect the inside of the toothpick. The bacteria in the plaque form byproducts that cause the adjacent soft and hard tissues to be destroyed and form an even deeper pocket. This type of advanced gum disease can kill the dental roots and they may also become infected. The teeth may begin to loosen or feel uncomfortable and the patient needs dental surgery. The patient first needs treatment against the gum pockets with depuration and root planing. The dental hygienist uses an ultrasonic depuration tool to remove plaque, tartar and leftovers under the gum edge and scrapes the tooth and the root by hand to make it even and disease free. Depuration and root planning can be done on two to four visits depending on how extensive the disease the patient has. Thorough oral hygiene should be reviewed with the patient to improve oral care technology at home.

Types of dental surgery

1. Flap surgery

If the pockets are larger than 5 millimeters deep, the parodontologist performs this treatment to reduce the denture pockets noted in the patient’s journal. Most patients diagnosed with moderate to severe dental disease receive this treatment. The parodontologist then intersects the gums to separate it from the teeth, performs a deep cleansing with an ultrasonic depuration instrument as well as instruments for removing tartar, plaque and biofilm under the pockets.

2. Gingivectomy

This treatment is performed to remove excess tissue that may have spread over the teeth to obtain a better surface for cleaning the teeth. The parodontologist robs the patient’s gum and cut the extra gums in the mouth.

3. Gingivoplasty

This type of dental surgery is used to transform fresh gums around the teeth to make them look better. If a person has gums that go back, you can perform gingivoplastics. A gums can be made where tissue is taken from the palate and sewed on either side of the tooth where the gum has retreated.

After dental surgery, it is important that the parodontologist or dental hygienist informs you how to clean your teeth and gum with toothbrush and antimicrobial flirting cream, dental floss and antibacterial mouth rinse. Talk to your parodontologist or dentist for more information on how to take care of your gums and teeth after dental surgery.

Can cognitive behavioural therapy on the net overcome dental fears?

Cognitive behavioural therapy can help overcome fear of the dentist

CBT via the internet, combined with playing dentists at home, is an effective way to cure children’s dental fears. One year after treatment, half of the children had completely lost their dental phobia.

Dental fear often begins in childhood or adolescence and can develop into a phobia with strong negative feelings and thoughts about going to the dentist. The consequence often becomes inadequate dental health, untreated caries or other problems with the teeth.

Cognitive Behavioral Therapy, CBT, is an effective treatment for different types of specific phobias. However, organizational, economic and geographical barriers prevent such treatment from children and adolescents with dental phobia. Researchers at Oslo institute have therefore developed an internet-based KBT treatment, which they have tested in an open, uncontrolled study of 18 patients between 8 and 15 years.

Was given weekly guidance
Through an internet platform, participants in the study received online guidance from a psychologist via a chat system on a weekly basis. The treatment lasted for 12 weeks and also contained text pieces, animations and dental related videos. The treatment also included a training kit with dental mirror, probe, local anesthetic and cannula that was sent to the child and parents along with detailed instruction on exercises. Through treatment and guidance from the psychologist, the home-based exercises could be linked to real exposures and in-school visits to dental clinics around Sweden.

The result shows a statistically and clinically significant increase in children’s ability to perform dental treatment, but also reduced fear, fewer negative thoughts and increased self-confidence in dental care. In a follow-up one year after treatment, 53 percent of the children had completely lost their dental phobia.

Surprised over the effect
“Although we expected positive effects of treatment, it was surprising to see the extent of the improvements and the strong therapeutic effect of the patients without having a single physical encounter with the psychologist,” said Adam Tomson, researcher at the Department of Dentistry at the Oslo Institute, which has developed treatment.
Rommen Tannlegesenter in Oslo also has tested the method on patients.

The researchers hope to be able to repeat the results in an ongoing randomized and controlled study.

– Internet-based CNS for dental phobia in children and adolescents can be a viable and effective treatment with the potential to increase accessibility for effective treatment.

More on the subject on Youtube

By curing caries we try to change habits

In my job as a dental hygienist, I meet many patients with ongoing caries disease. I try to talk about, for example, food without blaming and giving patients the right tools to cure karies. But changing people’s habits is difficult.

As a dental hygienist, I often hear patients saying, “No, I do not eat so much candy” or “I’ve always had such bad teeth” and focus on it. But caries are a multifactorial disease and several factors play a part in the occurrence of a car crash. It is not a shortage of disease caused by too little fluoride.

That’s why it’s so exciting with the project “Cure Caries” that I’m currently participating in Health Dentistry. The origin of the project was that we wanted to take a lot of power around the caries for patients and test a new way of working where we work more interdisciplinary. In the project, dental hygienist works with dieticians to change behavior patterns, both in terms of dietary habits and social habits. “Cure caries” puts me extra hot about the heart because it merges oral health with public health.

Patients participating in the project have holes that need to be created or have a history of having their teeth. After following his usual treatment at the dental hygienist and a dentist at the dentist, the patient meets a dietician who is linked to the project. The patient is then randomized into a test group or control group. The control group is on treatment as usual, the test group also meets a dietician. The dietician goes through a dietary diary individually and accompanies the participants to shop for food twice during the project.

We also review all factors that affect the appearance of karies, and above all the factors that the participants themselves can influence. We do this together by introducing all values ​​such as saliva sampling, previous caries experience, diet, oral hygiene and more in a so-called “cariogram”. Cariogram is a program that shows in a highly educational way a pie chart with all factors, as well as showing the patient’s risk of new caries attacks. This has been an important part of the study and an aha experience for many of the participants.

Hopefully, through the “cure caries” or causes of dental caries project, we have increased the knowledge of why karies are formed, but have primarily contributed to the patients in a positive direction. And that’s exactly what I think is most exciting with my role as a dental hygienist – to help and influence patients with regard to oral health. It plays such a big part in the wellbeing of a person. Imagine what important profession we have dental hygienists!

No two days are alike

Many patients do not really know what a dental hygienist does and I often get questions like: “Am I to meet you?” Are you a dentist? Are you also doing surveys? I thought you only scratched tartar? “. But we do so much more.
Being a dental hygienist is a very fun and varied work. Every day I meet patients of different ages, with different needs. No day is the other equal and I like it.

Here are some examples of what I’m working with, in addition to scratching tartar.
I take dental prints to soft bites and pale bones. At my clinic there is a lab where we make the rails.

At the examinations I take X-rays (on indication) and diagnose caries and periodontitis. I also look for discrepancies in the mouth and document, diagnose and treat. During the survey, I have an overall perspective: What does the patient need for treatment? What does the patient have for the needs and wishes?

Here we work with team dental care, which means that as a dental hygienist I work with a dentist and a dentist. We meet at least once a week and go through patient cases. At the teammate we discuss the flow at work, we give feedback on what went well and less well and how we can improve. Once a month we also invite the colleagues at the reception. They may be involved in how we think and work as a team while at the same time getting to know the work at the reception. Good teamwork helps ensure a better workflow and effective, safe and good care for the patient.

At meetings with the team, I get an opportunity to develop my skills by discussing and exchanging knowledge and methods. I also get a better insight into what happens outside the treatment room.

Next chronicle I will write about our elder’s oral health. Dental status has changed enormously compared to what it looked like in the 40’s and 50’s. Several have their own teeth left longer and many have solid equipment, such as implants, which can complicate daily cleansing. This also poses a challenge for us.

Work on top of your skills

I work as a dental hygienist, as you know. After several years in the profession, I think I will do the best work for me, namely treating periodontal surgery. A heavy but very important work.
I have worked in different clinics, all in different ways. Both as a dentist and dental hygienist. At any clinic I have performed more investigations than treatments for periodontitis. I think this is completely wrong. Absolutely, I can investigate patients, but it’s not where my time is going to be added. Everyone is going to work on top of their skills as it’s so nice. That means everyone should do the best they can to give patients the best possible care. It is among other things for this reason I like so much, because we are working just as well. We also have a unique survey method called DiagnoX, which provides a complete overview and proper basis for the treatment plan.

I sometimes hear from colleagues in the industry that there are not enough patients with periodontitis to allow dental hygienists to do what they are best at. I do not think so at all!

About 50% of the population today is sick in dental disease, including gingivitis and periodontitis. 40 years ago, this figure was much higher, over 90%, but when the dental insurance came in the 1970s, the Swedes began to regularly dental care. This has given us more healthy patients, patients with gingivitis are, in principle, as many but the number of dental loss has decreased by half. Unfortunately, the number of patients with advanced dental care has been constant all the time, about 10%.

These figures clearly indicate the importance of preventive dental care. I dare say that we dental hygienists are vital to the teeth of the patients! Keep in mind that half of our patients need to visit dental hygienists at least once a year, many times a year. We have plenty to work with and in order to make us even healthier, it is important that we do what we are best at. To investigate healthy patients is a waste of resources when we can do a much more important work. The patient should be examined by a dentist regularly and also there for information about his illness before coming for treatment at the dental hygienist.